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Oct 082007 1 : 01 PM Gl og i ca Inc 415n97-7880 p. l <br /> ,SAN JOAQUIN COUNTY EHO LOG NUMBER <br /> i -- 2007 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 640 East Main Street,Stockton,CA 95202-3029 <br /> ;" `elephoue: (209)468-3420 Fa>c: (209)464-0138 Web:www.5 .ojhd5 <br /> Pf_�=i1� �1 /`ry f;1 1114�:(v <br /> PUBLIC RECORDS RELEASE APPLICAT ON 7fo <br /> APPLICANT: / 'e G(,I /j SUSINESSIAGENCY:C r a 05 <br /> ADDRESS: S6 fit 0 1 egg qq v r� <br /> PHONE(1): Y(C- - 2 PHONE(2): FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days From date of application submittal-`TanWAm only-roust be confirmed) <br /> ,CHECK BOX TO EXPEDITE REQUEST 88.0 FEE(C H OR CHECK ONLY)-REQUEST PROCESSED IN 3 B NE DAYS <br /> SIC,NAT OF APPLICANT DATA <br /> Electronic Information: []List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street 9 Street Name C#� <br /> f�GICj St [ <br /> Unit t <br /> z. � 4 � ❑•c <br /> 3. 630 <br /> a. ( 2qa ' <br /> 5. <br /> (.Gk <br /> 6. ,n tttnit`a <br /> 7. <br /> 8. j xi ,; ❑ Unit 5:. <br /> 10. L <br /> �] <br /> Unit fi <br /> i <br /> Specific Date Range of Information Requested: From ' 40 to 7P.P.f ct <br /> .rc ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> '+.UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q HOt WOG ASATEmENT I3 Soi-ID WASTE FACIuTYNEHMLE <br /> EQTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 4 WASTE TIRE <br /> UNDERGROUND TANK(MONITOMNGIXUAlOVAL) 13 DDG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> TIERED PERurrrev FACILrTY 10 MOTELIHOTEL C)PuMPER TRUCKIYARDlCNEIW TOILETS <br /> 0 TATTOOIBODY PIERCING POOLISPA O LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECT <br /> WELL AND SEPTic PERMIT REcoRDs ARE AVAILABLE FOR REVIEW- MoNI)AYRB]AY 8:00 AM-5:00PNI - EXCLUDING HOLIDAYs- <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 209 4 38o mail to the address indicated above_ Address <br /> ranges will not be accepted-for additional assistance with file addrdsses,contact the EAD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately tent(10) <br /> days after receipt of application_ The flies will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. Anew application maybe <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$98,00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD�6-08 878!2007 <br />